Medicare AdvantageCoverageMedium impact
MA09.013b, Screening for Vertebral Fracture with Dual-Energy X-ray Absorptiometry (DEXA/DXA)
Independence Blue Cross·Radiology, Orthopedics, Geriatrics +1 more·Medical Policy
Effective date
Oct 29, 2025
We identified it
Jun 19, 2026
Summary
Policy MA09.013b regarding screening for vertebral fracture with DEXA/DXA has been reissued effective 10/29/2025. This is a recent policy update (1 month old) for Medicare Advantage plans. Without access to the full policy text content, the specific coverage criteria, billing code requirements, and prior authorization rules cannot be determined from the provided information.
Action Required
By 2025-10-29: Billing team must obtain and review the complete MA09.013b policy document from the source URL to identify: (1) specific CPT/HCPCS codes affected, (2) coverage criteria and medical necessity requirements, (3) prior authorization requirements, (4) documentation requirements for vertebral fracture screening claims. Update billing system rules, encounter forms, and provider templates accordingly. Contact the payer directly at the policy URL if clarification is needed. Failure to comply with updated screening criteria may result in claim denials.